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ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER DEPARTMENT OF PATHOLOGY AND LABORATORY PROFESSIONAL SERVICE DIVISION VICTORIANO LUNA

GENERAL HOSPITAL
V. Luna Avenue, Quezon City

Interns Quota Sheet Interns Name: Section: MARC DELVIN C. QUERO URINALYSIS School: UST

Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others:

Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others:

Verified by:

Verified by:

______________________ Medical Technologist

______________________ Medical Technologist

ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER DEPARTMENT OF PATHOLOGY AND LABORATORY PROFESSIONAL SERVICE DIVISION VICTORIANO LUNA GENERAL HOSPITAL
V. Luna Avenue, Quezon City

Interns Quota Sheet Interns Name: Section: MARC DELVIN C. QUERO URINALYSIS Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others: Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others: School: UST

Verified by:

Verified by:

______________________ Medical Technologist

______________________ Medical Technologist

ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER DEPARTMENT OF PATHOLOGY AND LABORATORY PROFESSIONAL SERVICE DIVISION VICTORIANO LUNA GENERAL HOSPITAL
V. Luna Avenue, Quezon City

Interns Quota Sheet Interns Name: Section: MARC DELVIN C. QUERO URINALYSIS Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others: School: UST

Verified by:

______________________ Medical Technologist

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